1. When setting the premiums, insurance companies want to make sure that which of the following items will be paid for by the premiums? (select all that apply)
2. the projected claims
3. some amount for reserves
4. some profit
5. the insurance company's administrative expenses

2. Which of the following is/are factors an insurance company typically uses in manual rating? (select all that apply)

1. geography
2. gender
3. age
4. income
5. average employee weight

3. how many full time employees (plus full-time equivalent employees) must an employer have to be subject to the Affordable care act employer mandate?

1. 100
2. 40
3. 50
4. 30

4. The North Carolina state plan we reviewed in class had a tobacco cessation plan. it requires that employees represent that they are not tobacco users or attend a tobacco cessation class. please select all of the following that are true of this program.

1. the HIPAA/ACA wellness rules apply
2. there is no reasonable alternative standard offered under the program
3. this is an outcomes-based program
4. this program could have an incentive of up to 50% of the cost of employee- only coverage

5.HIPAA's privacy and security rules Apply to which of the following individuals or entities (select all that apply)

1. employers
2. group health plans
3. business associates
4. health care providers
5. anyone who receives health information
6. restaurants, retailers, and similar businesses that ask for COVID vaccine information
7. health care clearinghouses
8. health care policy makers

6. select the statement that best describes the result tif the beneficiary of a life insurance policy murders the insured or, altenatively, dies at the same time as the insured in a car accident.

1. in both cases, the beneficiary's estate will receive the life insurance benefits
2. in the murder scenario, the beneficiary is treated as dying befor the insured, but in the car accident scenario the benefits go to the beneficiary's estate.
3. In the nurder scenario, the benefits go to the beneficiary's estate, but in the car accident scenario the beneficiary is treated as dying before the insured.
4. In both cases, the beneficiary is treated as dying before the insured. 7. Which of the following arrangements typically involve the employer taking on some or all of the risk under a benefit plan? (select all that apply)
5. retrospective rating
6. minimum premium, plans
7. funding through a VEBA Trust
8. partial self-funding
9. level funding
10. total self- funding
11. cost-plus

8. For employers subject to the Affordable Care Act Employer Mandate, how many hours per week does an employee need to work on an average to be offered coverage?

1. 30
2. 40
3. 35
4. 32

9. Which of the following is true of the wellness program rules under the Americans with Disabilities Act?( select all that apply)

1. they allow wellness programs to be mandatory
2. they apply if the wellness program includes a medical examination
3. they apply if the wellness program includes a disability inquiry
4. the only apply if the HIPAA/ACA wellness rules do not apply

10. Which of the following is /are conditions necessary to avoid ERISA's trust requirement for welfare plans? (select all that apply)

1. employee contributions must be kept in a segregated bank account from employer funds
2. There is no exception. all assets must be held in trust
3. employee contributions must be applied to insurance premiums, plan benefits, or plan expenses within 90 days of being collected by the employer
4. employee contributions must be collected through a cafeteria plan

please help